Pieper B, Mattern J C
Wayne State University, College of Nursing in Detroit, MI, USA.
Ostomy Wound Manage. 1997 Mar;43(2):22-6, 28, 30-1.
The purpose of this study was to ascertain critical care nurses' knowledge of pressure ulcer prevention, staging, and description in reference to the AHCPR guideline on pressure ulcer prediction and prevention. A cross-sectional survey design was used to collect data from 75 critical care nurses. The Pressure Ulcer Knowledge Test, used to assess nurses' knowledge, consisted of 47 true/false items and had a total alpha reliability of.91. Items were sorted into subscores of Prevention (33 items), Staging (7 items), and Wound (7 items). The percentage of items answered correctly on the test by critical care nurses ranged from 15 percent to 83 percent. Test scores were not affected by years of nursing experience, type of nursing education, or when the nurses had last read an article about pressure ulcers. Only the Wound subscore was significantly affected by the time since listening to a pressure ulcer lecture. Few critical care nurses had read the AHCPR guideline on pressure ulcer prevention. This study revealed a knowledge deficit about pressure ulcer prevention among critical care nurses. Since pressure ulcers have been identified as a national health concern, information about their prevention must be shared and implemented in patient care.
本研究的目的是，参照美国医疗保健政策与研究机构（AHCPR）关于压疮预测与预防的指南，确定重症监护护士在压疮预防、分期及描述方面的知识水平。采用横断面调查设计，从75名重症监护护士收集数据。用于评估护士知识水平的《压疮知识测试》由47道是非题组成，总体信度系数α为0.91。题目分为预防（33题）、分期（7题）和伤口（7题）三个子分数。重症监护护士在测试中回答正确的题目百分比从15%到83%不等。测试分数不受护理年限、护理教育类型或护士上次阅读有关压疮文章时间的影响。只有伤口子分数受上次听压疮讲座后的时间显著影响。很少有重症监护护士阅读过AHCPR关于压疮预防的指南。本研究揭示了重症监护护士在压疮预防方面存在知识欠缺。鉴于压疮已被认定为一项全国性健康问题，必须在患者护理中分享并实施有关其预防的信息。
